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Exam (elaborations)

Nur 245 Exam II – Questions With Right Solutions

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Nur 245 Exam II – Questions With Right Solutions

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Nur 245 Exam II – Questions With Right Solutions

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Terms in this set (217)

,When performing a physical ANS: B
assessment, the first technique the
nurse will always use is: The skills requisite for the physical examination are
inspection, palpation, percussion, and auscultation.
a. The skills are performed one at a time and in this
order (with the exception of the abdominal
Palpation. assessment, during which auscultation takes place
before palpation and percussion). The assessment of
b. each body system begins with inspection. A focused
inspection takes time and yields a surprising amount
Inspection. of information.


c.


Percussion.


d.


Auscultation.

,2. The nurse is preparing to perform a ANS: B
physical assessment. Which statement
is true about the physical assessment? A focused inspection takes time and yields a
The inspection phase: surprising amount of information. Initially, the
examiner may feel uncomfortable, staring at the
a. person without also doing something. A focused
assessment is significantly more than a quick glance.
Usually yields little information.


b.


Takes time and reveals a surprising
amount of information.


c.


May be somewhat uncomfortable for
the expert practitioner.


d.


Requires a quick glance at the patients
body systems before proceeding with
palpation.

, 3. The nurse is assessing a patients skin ANS: B
during an office visit. What part of the
hand and technique should be used to The dorsa (backs) of the hands and fingers are best
best assess the patients skin for determining temperature because the skin is
temperature? thinner on the dorsal surfaces than on the palms.
Fingertips are best for fine, tactile discrimination. The
a. other responses are not useful for palpation.


Fingertips; they are more sensitive to
small changes in temperature.


b.


Dorsal surface of the hand; the skin is
thinner on this surface than on the
palms.


c.


Ulnar portion of the hand; increased
blood supply in this area enhances
temperature sensitivity.


d.


Palmar surface of the hand; this
surface is the most sensitive to
temperature variations because of its
increased nerve supply in this area.

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